Sandra Marie Tysar-Gilbert, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093117 Issued in MI

Practice address

27941 Harper Avenue, Ste 103
Mailbox # 5
St. Clair Shores, MI 48081-4808

Phone

(249) 229-4778

NPI assigned

Jan 16, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1942571435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27941 HARPER AVE STE 103",
            "address_2": "MAILBOX # 5",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811535",
            "telephone_number": "249-229-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27941 HARPER AVENUE, STE 103",
            "address_2": "MAILBOX # 5",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "480814808",
            "telephone_number": "249-229-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSAR-GILBERT",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-16",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tysarsandy@gamil.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "31518 Jay Dr",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480937650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hayley Grace Tumidajewicz, BT
• Eshel S Turk, M.D.
• Tiffany Zlatich Tuttle, PSY.D.
• Sue Lainge Tyce, PHD
• Tyler'S Place
• Dakenna Tyson
• Beatrice Tyus, LMSW
• Victoria Tzavellas, LMSW-C
• Ulter Consulting LLC
• Jayashree P Umapathy, B.S.

• Clinical Social Worker in St. Clair Shores, MI
• Providers in St. Clair Shores, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.